Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.41 / $657.41 / $657.41	Facility		$657.41	$657.41	$657.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.41 / $1,500.00 / $2,672.67	Professional		$657.41	$1,500.00	$2,672.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,744.85	Professional		$1,530.00	$1,530.00	$1,744.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.70 / $846.66 / $855.22	Professional		$769.70	$846.66	$855.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $952.31 / $1,279.55	Facility		$812.83	$952.31	$1,279.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,276.41 / $2,422.19	Professional		$812.83	$1,276.41	$2,422.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.66 / $1,128.39 / $3,899.19	Facility		$591.66	$1,128.39	$3,899.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $712.41 / $1,187.34	Professional		$444.95	$712.41	$1,187.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,279.55 / $1,285.69 / $1,979.14	Facility		$1,279.55	$1,285.69	$1,979.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,285.69 / $1,592.89 / $2,690.96	Professional		$1,285.69	$1,592.89	$2,690.96
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $712.41 / $988.78	Professional		$444.95	$712.41	$988.78